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Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.

How cavities form

Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.

Cavity prevention for adults

Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.

• Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
• Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
• Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
• Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.

One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.

For more information about avoiding cavities, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Pediatric dentists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or perhaps there is a baby tooth which has simply overstayed its welcome and is blocking its adult replacement.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

• Bleeding

Some bleeding is normal after an extraction. Follow your dentist’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Kingston, ON office.

• Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

• Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot which forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

• Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

• Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

• Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Your dentist might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your dentist or oral surgeon right away.

An extraction can be worrying for both patient and parent, so talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for the best ways to make this experience a positive one for your child before, during, and after treatment.

Pediatric dentists are experts in children’s extractions, while ensuring that the procedure is as stress-free and as comfortable as possible for your child. Follow their instructions for aftercare, and you’ll ensure your child’s recovery is as stress-free and comfortable as possible, too.

It’s your child’s first filling at our Kingston, ON office, and perhaps you’re both a little nervous. Your child doesn’t know what to expect, and you want to make sure this is a positive experience. We have some suggestions that might help both of you!

• Partner with Your Child’s Dentist

Because a pediatric dentist is a specialist in treating children and their dental needs, your dentist will have some suggestions for making that first filling a comfortable and comforting experience.

And because you’re the expert when it comes to your child’s needs, you can let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know about anything that might cause your child difficulty or anxiety beforehand.

• Age-Appropriate Explanations Are Best!

It’s a good idea not to make any explanations too complicated. “Your dentist will help your tooth get strong and healthy again” might be all a young child needs to hear. And talking about drills or needles can be scary, especially when kids have no experience with dental tools and procedures.

A pediatric dentist can help you describe cavities and the filling procedure in an age-appropriate, non-scary way—and can recommend helpful story books for reading ahead of time!

• Discuss Sedation Beforehand

If you think your child would benefit from light sedation options such as nitrous oxide or oral medication, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about sedation procedures.

Your dentist will also have child-appropriate ways to talk about local anesthetics if they’re needed to numb the area around the tooth.

• Tool Talk

Most adults are familiar with dental tools, but this will be a new experience with new sensations and sounds for your child. A pediatric dentist can describe what each tool is and what it does so kids are comfortable when an instrument is used.

Sometimes a tool can be noisy or vibrate. Some tools squirt water and some (loudly) suck water and debris away. If noises are a problem for your child, let your dentist know in advance, and ask about music or headphones to help minimize sounds.

• Filling Material Concerns?

For molars, which bear the weight of chewing pressure, a silver-colored amalgam might be recommended. For a filling in the front of the mouth, a tooth-colored composite could be used to blend in. Fillings can also be made with gold or ceramic materials. A severely decayed tooth might require a crown, which is often made of stainless steel when used for a baby tooth.

If you have questions or concerns about the type or appearance of filling material, ask! Your dentist will be happy to explain which material is best suited to restore the appearance and function of your child’s tooth.

• Getting Ready for the Appointment

Choose an appointment day with a light schedule and let your child dress comfortably. Ask if your child can bring a favorite toy or a stuffed animal friend for comfort.

Your mood will influence your child, so make the day of the appointment as stress-free as possible for the both of you! That’s why it’s a good idea not to talk about any dental fears you might have, or any discomfort your child might experience. Your child will pick up on your feelings, so projecting a calm and positive attitude will help.

• Aftercare

Your dentist team will give you instructions for your child’s quickest, most comfortable recovery. These instructions include how to treat the extraction site, which foods are best, and over the counter pain medication.

It’s best not to plan strenuous activities immediately after a filling.

• Partner with Your Child’s Dentist

Yes, we know we already talked about this, but it can’t be stressed enough. When your child has his or her first filling, in a way it’s your first filling, too! Your pediatric dentist is there to help you navigate this procedure and to help make sure that the experience is a positive one for both of you.